APPENDIX - 25

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BANK CERTIFICATE OF EXPORT AND REALISATION

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NOTE: PLEASE SEE CHAPTER 7 AND 8 OF THE POLICY AND CHAPTER 7 AND 8 OF THE
PROCEDURE AND PARA 11.9 AND 11.10 OF THIS HANDBOOK.
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FORM NO. 1

To ______________________________________(Name and address of

Licensing Authority) We ________________________(Name and address of the
Exporters) hereby declare that we have forwarded a documentary export Bill
to _____________________________ (Name and address of the bank i.e., Branch
and City) for collection/negotiation/purchase as per particulars given
hereunder.

Invoice Export promotion Description of Bill of Destination of Bill amount

copy of Shipping goods as given ladings/ PP goods CIF/c&f/FOB
Bill duly in the customs Receipt/ (In foreign
authenticated by authenticated Airways Bill exchange
the Customs Shipping Bill No. Date
No. Date No. Date Country name
[1] [2] [3] [4] [5] [6] [7] [8] [9]

Freight Insurance Commission/ Whether the FOB Date of GRI/PP No. date &
amount amount as Discount export is value/ realisation form No. category of
as per per paid/ in freely FOB value of export applicable
Bill of insurance payable convertible actually proceeds licence
lading/ Company's currency or realised
freight bill/ in Indian in free
memo Receipt Rupees Foreign
Exchange/
Rupees
[10] [11] [12] [13] [14] [15] [16] [17]

We further declare that the aforesaid particulars are correct. (copies of

invoices relevant to these exports and Customs attested EP. Copy of relevant
Shipping Bill is attached for verification by the bank).

Signature of the : ....................

exporter

Name in block : ....................

letters
Place: : ....................
Designation : ....................
: ....................
Full official : ....................
address
Official Full Residential : ....................
Seal/stamp address

App.223
 BANK's CERTIFICATE

Authorised Foreign Exchange Dealer

Code No. allotted to the Bank by RBI ______________________________
Ref.No. __________________________
Date _____________________________
Place ____________________________

1. This is to certify that we have verified the relevant Export

Invoices, Customs attested E.P. Copy of the Shipping Bill and
other relevant documents of M/s.__________________________
_____________________________________. We further certify that
the particulars given in Co.1 to 16 have been verified and found
to be correct. We have also verified the F.O.B. value mentioned
in Col. 13 above with reference to following documents :-

(i) Bill of Lading/PP receipt/Airways Bill

(ii) Insurance policy/Cover/Insurance Receipt.

2. We have also verified that the date of the connected mate

receipt as indicated in the relevant Shipping Bill is
____________________________ (date to be given).

3. We have also verified that the date of Export is

____________.

(Applicable only in respect of Exports by air.)

4. This is to certify that we have certified the amount of the

Commission paid/payable, as declared above, by the exporter i.e.
_________________________________________________________________
(in figures and words) with G.R. Forms and found to be correct.
______________________________________

(Signature of the Bankers)

Full address of the Bankers

_______________________________________
Branch and City _______________________
Official Stamp.

Note: 1. Bank can issue a consolidated certificate

(consignment-wise) for more than one consignment.

2. FOB actually realised and date of realisation

of export proceeds are to be given in all cases
except where consignment has been sent against
conformed irrevocable letter of credit.

3. This shall be required wherever specifically

prescribed in the Policy/ procedure.

4. The exchange rate is to be calculated with

reference to paragraph 7.38 of the Handbook
(Vol.1).

App.224
 APPENDIX - 25-A
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BANK CERTIFICATE OF PAYMENTS FOR DOMESTIC SUPPLIES

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NOTE: PLEASE SEE CHAPTER 6,7 AND 10 OF THE POLICY AND CHAPTER 6, 7 AND 10 OF
THE PROCEDURE.
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To ______________________________ (Name and address of Licensing

Authority). We ________________________ (Name and address of the domestic
supplier) hereby declare that we have received payment through banking
channel in respect of supplies given hereunder.

Invoice Description of Details of payment received

goods as given Cheque /DD Date Amount
No. Date FOR in the invoice No.
value
[1] [2] [3 [4] [5] [6] [7]

We further declare that the aforesaid particulars are correct.

Signature of the : ....................

domestic supplier.

Name in block : ....................

letters
Place: : ....................
Designation : ....................
: ....................
Full official : ....................
address
Official Full Residential : ....................
Seal/stamp address

BANK's CERTIFICATE

This is to certify that we have received the amount mentioned in column

7against invoice mentioned in column 1 above.

(Signature of the Bankers)

Full address of the Bankers

_______________________________________
Branch and City _______________________
Official Stamp.

App.225
App.226